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A qualitative exploration of health-related present bias among HIV-positive adults in Uganda.
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- Author(s): MacCarthy, Sarah; Mendoza-Graf, Alexandra; Jennings Mayo-Wilson, Larissa; Wagner, Zachary; Saya, Uzaib; Chemusto, Harriet; Mukasa, Barbara; Linnemayr, Sebastian
- Source:
AIDS Care. Jun2023, Vol. 35 Issue 6, p883-891. 9p. 1 Diagram, 3 Charts. - Source:
- Additional Information
- Subject Terms: CLINICAL drug trials; DISEASE progression; STATISTICS; RESEARCH methodology; ANTIRETROVIRAL agents; INTERVIEWING; QUALITATIVE research; PATIENTS' attitudes; HEALTH behavior; DESCRIPTIVE statistics; RESEARCH funding; PATIENT compliance; HEALTH equity; SOCIODEMOGRAPHIC factors; STATISTICAL correlation; PSYCHOLOGY of HIV-positive persons; ADULTS
- Subject Terms:
- Abstract: Decision-making errors such as present bias (PB) can have important consequences for health behaviors, but have been largely studied in the financial domain. We conducted a mixed-method study on PB in the context of ART adherence among clinic-enrolled adults in Uganda (n = 39). Specifically, we quantified PB by asking about preferences between medication available sooner to minimize headaches versus available later to cure headaches. We describe demographic similarities among PB participants and qualitatively explored how participants reflected on their PB (or absence thereof) in the context of health. Participants reporting PB were predominantly male, single/unmarried, older, had higher levels of education and income and more advanced HIV progression. Three common reasons for more present-biased choices provided were: (1) wanting to avoid pain, (2) wanting to return to work, and (3) fear of one's health worsening if s/he did not address their illness immediately. While PB in the financial domain often suggests that poorer individuals are more likely to prefer immediate rewards over their wealthier counterparts, our results suggest poor health is potentially a driving factor of PB. Further research is needed to build on these finding and inform how programs can frame key messages regarding ART adherence to patients displaying PB. Trial registration: ClinicalTrials.gov identifier: NCT03494777. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of AIDS Care is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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